Article Text
Summary
We describe a 52-year-old woman presenting with acute onset of severe burning paraesthesia in the hands and feet associated with allodynia and antalgic gait. At the time of admission to hospital no motor weakness was present. A diagnosis of Guillain-Barré syndrome (GBS) was considered when neurophysiological studies were completed showing convincing evidence of demyelination on motor conduction studies and sural sparing on sensory nerve studies.1 We describe this case as a sensory variant of GBS. Clinical improvement followed treatment with a single course of intravenous immunoglobulin (IVIG). The patient made a complete clinical recovery within 6 months of onset and repeat neurophysiological studies showed marked improvement. We encourage clinicians to consider an atypical variant of GBS in patients presenting with acute sensory complaints.
- General Practice / Family Medicine
- Clinical Neurophysiology
- Pain (neurology)
- Peripheral Nerve Disease
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Footnotes
Contributors MS, GG, PT and LK were all involved in the clinical care of the patient. Each author contributed to the content and writing of the initial draft of the manuscript and to revisions. GG prepared the accompanying tables and figures. All approved the final draft of the manuscript to be submitted for publication and agree to take public responsibility for the content of the manuscript.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.